Barton School District Classified Job Application

Barton School District

Classified Job Application
Basic Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Birth Date

MonthDayYear
Date
Birth Date

MonthDayYear
Are you married?
Name of Husband or Maiden Name of Wife
What position are you seeking?
Ex: Aide, Cafeteria Worker
Previous Work Experience

List 2 previous employers starting with the most recent.
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Supervisor
Starting Position
Last Position
Rate of Pay
Dates of Employment
Why did you leave?
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Supervisor
Starting Position
Last Position
Rate of Pay
Dates of Employment
Why did you leave?
References

Please give name, occupation, present address, zip code, and telephone number or 4 references (not relatives or previous employers) who have known you for atleast 3 years.
Reference 1
Reference 2
Reference 3
Reference 4
Other Information
When can you begin work?

MonthDayYear
Date
When can you begin work?

MonthDayYear
Have you ever been convicted of a felony?
If yes, please explain.
Are you currently on the child maltreatment registry?
Do you have any physical or mental conditions which would prevent you from performing any of the normal job functions for which you are applying?
Are you a veteran or the spouse of a veteran?
Act 444 of 2013 requires the Barton-Lexa School to provide preference to veterans and veterans' spouses in the areas of applications and hiring. In order to receive the preference, you must complete this section of the Certified Job Application at attch all required documents.
Please select the category that best describes you.
Form DD-214 indicating honorable discharge

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A letter dated within the last six (6) months from the applicant's command indicating years of service in the National Guard or Reserve Forces as well as the applicant's current status.

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Birth Certificate

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Marriage License

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Death Certificate

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Disability letter from the Veteran's Administration, in the case of an applicant with a service-related disability.

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In the case of a veteran who is over the age fifty-five (55), disabled (it is not necessary that the disability is service-connected), and entitled to a pension or compensation under existing laws, a letter from the veteran's physician indicating disability, dated within the last six (6) months.

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If you would like to submit the required documentation for Act 444 of 2013 differently than attaching them to this application, please describe how you would like to submit the information.
Mail to the school or hand deliver to the school
Cover Letter and Resume
Cover Letter

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Resume

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You may contact Barton School District at P.O. Box 97, Barton, Arkansas 72312 or call 870-572-7294.
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Basic Information

Previous Work Experience

Other Information

Cover Letter and Resume